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Addison D, Brammer J, Gupta S, et al. Postpartum spontaneous coronary dissection presenting with ventricular fibrillation. J Cardiol Cases. 2010;3(1):e17-e21doi: 10.1016/j.jccase.2010.11.002.
Addison, D., Brammer, J., Gupta, S., & Lakkis, N. (2011). Postpartum spontaneous coronary dissection presenting with ventricular fibrillation. Journal of cardiology cases, 3(1), e17-e21. https://doi.org/10.1016/j.jccase.2010.11.002
Addison, Daniel, et al. "Postpartum spontaneous coronary dissection presenting with ventricular fibrillation." Journal of cardiology cases vol. 3,1 (2011): e17-e21. doi: https://doi.org/10.1016/j.jccase.2010.11.002
Addison D, Brammer J, Gupta S, Lakkis N. Postpartum spontaneous coronary dissection presenting with ventricular fibrillation. J Cardiol Cases. 2010 Dec 21;3(1):e17-e21. doi: 10.1016/j.jccase.2010.11.002. eCollection 2011 Feb. PMID: 30532826; PMCID: PMC6265214.
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J Cardiol Cases. 2010 Dec 21;3(1):e17-e21. doi: 10.1016/j.jccase.2010.11.002. eCollection 2011 Feb.

Postpartum spontaneous coronary dissection presenting with ventricular fibrillation.

Journal of cardiology cases

Daniel Addison, Jonathan Brammer, Swapna Gupta, Nasser Lakkis

Affiliations

  1. Department of Internal Medicine, Baylor College of Medicine, Houston, TX, USA.
  2. Ben Taub General Hospital, Baylor College of Medicine, Houston, TX, USA.

PMID: 30532826 PMCID: PMC6265214 DOI: 10.1016/j.jccase.2010.11.002

Abstract

BACKGROUND: Spontaneous coronary artery dissection is a rare cause of acute coronary syndromes; and one quarter of these patients present during the post-partum period. Furthermore, ventricular fibrillation is a rare presentation of this disease entity.

CASE: A 32-year-old woman presented 3 days post Cesarean-section delivery with chest pain, ischemic electrocardiogram changes, and ventricular fibrillation arrest. The patient was taken for cardiac catheterization and found to have a left anterior coronary artery dissection necessitating 6 stents to restore flow to the vessel.

CONCLUSION: We report the first case of survival after ventricular fibrillation arrest of a woman presenting with spontaneous coronary dissection in the post-partum period. Our case underscores the importance of recognizing ventricular fibrillation as a first presenting sign of spontaneous coronary artery dissection in the post-partum period.

Keywords: Arrest; Coronary; Dissection; Postpartum; Survival; V-fib

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